426 - Complete Oral Rehabilitation of an ASD Patient: Case Report

Oral health status remains controversial in autism spectrum disorder (ASD) patients. Although dental caries are preventable, the social characteristics of patient’s living conditions influence access to oral health care. This study describes the complete oral rehabilitation of an ASD patient in the operating room (OR), and how social determinants of health influence access to oral health care. A 13-year-old male, with medical history of ASD, ADHD and oppositional defiant disorder, presented multiple dental caries and was taken to the OR of San Juan City Hospital for Complete Oral Rehabilitation. This case presented recurrence of caries lesions in the first follow-up appointment. Subsequent follow-up appointments are documented but some were cancelled. It is important to identify and recognize current oral health status and social determinants of oral health in special needs patients. Summarizing, social determinants of oral health may contribute to patient oral health status and access to dental care.